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General NPI Number Information
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NPI Number | 1194023234
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Entity Type | Organization
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Legal Business Name | ASHRAF M. SUFI, M.D. LLC
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Dates
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Enumeration Date | 03/13/2011
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 18111 PRINCE PHILIP DR SUITE 202
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-919-9689
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Fax |
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Provider Business Mailing Address
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Address Line | 4120 MONTPELIER RD
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City | ROCKVILLE
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State | MD
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Zip | 20853-1959
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Country | US
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Telephone | 301-919-9689
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. ASHRAF M. SUFI
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Credential | M.D.
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Telephone | 301-919-9689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0067403
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License Number State | MD
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